effect of nutritional behavior pattern education to toddler mothers on the nutritional pattern improvement of toddlers and mothers performance

Nutrition is a very important factor in toddler age growth. Getting started the first steps of the children with family in this period shows the necessity of paying attention to the correct nutritional behaviors. Therefore this research has been conducted for assessing the effect of nutritional behavior model on the quality of toddler's nutrition and performance of their mothers. This research is a semi-experimental study, in which sixty six children [12-36 months old] were selected from two health care centers in the southern part of Tehran. The subjects were selected using non probability-convenient sampling method. The data gathering tool was 3 questionnaires: 1. Mother and child demographic characteristics 2. Mother's function assessment tool about toddler's behavior during feeding 3. Reminding tool of 24 hours food. The tools were filled in using interviews. Then nutritional behavior model was instructed in a workshop during 2 days, 3 hours a day. After the intervention data were recollected again and were analyzed by descriptive and inferential statistics. The results showed a significant difference in mother's function about toddlers nutritional behavior during nutrition before and after the intervention [P<0.001]. Also a significant difference was seen in the toddlers nutrition pattern before and after the intervention [P<0.05]. Based on the research findings it can be concluded that nutritional behavior model is effective in improving the pattern of toddler's nutrition and in increasing mothers' knowledge related to a correct function on toddler's behavior during feeding. Therefore educational plan to mothers on correct nutritional behaviors is suggested in order to improving the quality of toddler's nutrition

[Frequency of some of the factors affecting adults cardio -pulmonary resuscitation outcome in Emam Khomeini hospital]

Despite 40 years of cardiopulmonary resuscitation [CPR] therapies, overall survival rates after cardiac arrest remain poor. On the average, 10-15% of patients who undergo cardiopulmonary resuscitation following a cardiopulmonary arrest in hospitals, are discharged but this rate is different in different countries. Information on who is likely to benefit from cardiopulmonary resuscitation is essential for decision making regarding resuscitation efforts. The purpose of present study was to determine the outcome of cardiopulmonary resuscitation [CPR] for in-hospital cardiac arrests and to identify risk factors associated with survival to the time of hospital discharge.A 1-year descriptive study in Emam Khomeini Medical Center that is a 1000-bed tertiary, academic and regional referral center was preformed. The samples were adult inpatients [mean age 58.12 +/- 19.16 years], excluding those who had cardiac arrest in the operating room. Eighty seven patients analyzed. A check list was used to assess the performance and quality of CPR team and a questionnaire was used for assessment of knowledge in personnel. Among eighty-seven resuscitated patients, sixteen [18.4%] survived after resuscitation but all of them died after 3-100 hours. Twenty seven [31.4%] patients arrested in the intensive care unit, 14 [15.1%] on the ward and 46 [53.5%] in the emergency room. There was no significant difference in survival based on location of arrest. Factors associated with poor outcome were age, interval between collapse and start of CPR, systolic pressure, arterial pH, K, initial rhythm, time of arrest, and duration of CPR. The skill of resuscitation team was associated with survival.Based on these data, survival till hospital discharge rate after cardiac arrest remains low. It is necessary to improve the skills and update the knowledge of resuscitation team. Hospital managers and nursing associations should consider CPR training and continuing education for all nurses and residents. They should also establish a special CPR Team in Hospitals

case report of thrombophilia emanated from G20210A prothrombin mutation

G20210A prothrombin mutation is one of the most prevalent mutations in the western countreis. In most diagnostic algorithms, G20210A prothrombin mutation's identification is the major tool in determining the cause of thrombosis. However, there is little evidence about the prevalence of this mutation in thrombophilia and its role among Asian and especially Iranian people. According to sporadic investigations there exist some evidence of the low prevalence rate of the mutation in Iranian patients. The case at issue has been negative in regard to other inherited and acquired causes; thus, the researchers intended to study the mutation rate in this case. The patient under study had the past record of recurrent miscarriage and CVA. Considering the limited number of studies conducted on thrombosis genetic prevalence and their impact on recurrent abortions and thrombophilia in Iran, this study is considered to be the first report on the screening of G20210A mutation. In this regard, the role of this mutation in unexplained miscarriage and exacerebation of underlying disorders could be investigated

[ Survey of prevalence of rare Bombay [Oh] blood group among 3 different population in Tehran [1381-1382]]

H antigen is a precursor to A and B antigens. [Person who lacks A and B antigens has a strong expression of H antigen. In 1 per million population, Bombay phenotype [ lack of A, B, H antigens] is observed, because this group should just experience autologous transfusion. Accurate identification of such people is highly recommended. 2178 persons from 3 different population were selected. One group was Indian population of Tehran [100], 78 persons [from 2 families with Bombay phenotype history, and the third group[2000] was selected as volunteer donors. All of them have O group phenotype.10 cc of whole blood was taken from each subject. Red blood cells washed 3 times with saline and finally samples with 5% dilution were prepared. Each sample was treated with H-Lectin anti-sera, and after 30 minutes agglutination was detected with naked eye and microscope. Only 1 subject among donors had Bombay phenotype. Limitation in Indian population in Tehran caused hinderance detection of new cases of Bombay phenotype. At the end, detection of 1 Bombay phenotype among 2000 donors seems very significant